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The AIA Aims to Shed Light on Growing Concerns Regarding Essential Oils

A recent market report indicates favorable shifts in consumer demand and market expansion have helped the Essential Oil Manufacturing industry thrive in the current five-year period (IBIS World, 2016).

Market share concentration in this industry is low; no company accounts for more than 5.0% of industry revenue in 2016. Furthermore, IBIS World estimates that the top four players account for less than 10.0% of revenue in 2016. The level of concentration has been slowly rising over the past five years as network marketing companies continue to establish their brand names and thereby increase their market share. Although market share concentration has been slightly rising over the past five years, the level of concentration is expected to remain low over the long-term. A moderate level of barriers to entry will allow new companies to enter the market to take advantage of the rising revenue over the next five years.  The report’s analysts forecast the global essential oil market to grow at a compound annual growth rate of 8.26% during the period 2016-2020.

With the increase an increase in the demand for essential oils, we are seeing more adulteration in essential oils-even in those that are relatively abundant and easily produced. What does this mean for authentic practitioners of Aromatherapy and Aromatic Medicine?

With the theme, Out of the Bottle and Into the Garden: Traditional Herbalism to Aromatic Medicine, the Alliance of International Aromatherapists International Conference aims to explore the use of various plant preparations while emphasizing the importance of the plants from which we obtain our precious oils. Lectures will feature experts from around the world discussing sustainability, ethics and professionalism while growing your business. The importance of how essential oil demand  is impacting the availability of our oils will be highlighted with attention to other types of plant medicine that can be used to provide complementary care in practice.

With the growing interest in Aromatic Medicine and questions regarding our ability to practice Aromatic Medicine and specific protocols that incorporate internal use of oils, we will feature two special lectures on Aromatic Medicine and protecting your business from government intrusion.

This August the Alliance of International Aromatherapists, in partnership with the Rutgers University Plant Biology Department (New Brunswick, NJ), will bring together 300-400 of the world’s top Aromatherapy leaders, practitioners, educators, research scientists, integrative health practitioners and entrepreneurs. Business development, thought-provoking content and endless networking opportunities are tied together by engaging and inspiring speakers, trade exhibits, and pre-conference workshops, and social events about the future of the Aromatic plant community, innovation, marketing, communication and imagination.

Registration is open and information about the schedule, speakers, pre-conference workshops, hotel and transportation are all online at www.aromatherapyconference.com.

 

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Advancing Clinical Aromatherapy Education in Women’s Health

pam-conradPam Conrad Discusses Her New Evidence-Based Program

Interview by Leslie Moldenauer CHNC, HHP, Cert. Aroma

Pam Conrad, PGd, BSN, RN, CCAP, earned her Bachelor of Science Nursing degree from Purdue University and has been a registered nurse for over 25 years. Pam completed R J Buckle and Associates 18-month Clinical Aromatherapy course for healthcare professionals in 2000. Pam’s focus in Aromatherapy has always been integrative; combining time-honored nursing and clinical Aromatherapy.

Upon completion of Dr. Buckle’s course, her family moved to England for two years where she studied advanced Aromatherapy with nurses and midwives, and completed a Post Graduate Diploma in Complementary Studies at the University of Westminster Graduate School of Integrated Health, in London. This is where Pam met Denise Tiran and Ethel Burns–two of her mentors–who both specialize in Aromatherapy and pregnancy/childbirth and postpartum. Pam became Ms. Tiran’s first international intern and was able to learn first-hand how to integrate complementary Aromatherapy alongside her traditional practice.

In 2008, Pam taught a group of 12 obstetrics (OB) nurses evidence-based clinical Aromatherapy and developed the first hospital OB Aromatherapy program in the United States (Burns et al., 2000 and 2007).  Since that time, multiple hospitals in Indiana (and now Santiago, Chile) have completed this course and developed clinical programs.

Pam currently has the only evidenced-based women’s health/ maternity/clinical Aromatherapy course in the United States that is approved by the American Holistic Nurses Association (AHNA).

LM: Pam, let’s talk a bit more about your evidence-based program being taught here in America. This is a substantial advancement for the industry. What makes your course unique? What is your course offering to potential students?

PC: Historically, the class has been nurses and nurse midwives. The program has recently extended to teach certified doulas as well as certified Aromatherapists. The International Journal of Professional Holistic Aromatherapy will be hosting the first class that includes certified Aromatherapists in February 2017.

The course is focused on labor, childbirth and postpartum. As new clinical evidence emerges, the course content is revised with Aromatherapy interventions for the nine months of pregnancy.

The program takes a clinical approach, which stands out from what is currently being taught in the United States. There are many factors that come into play when making a clinical decision with a patient, not just looking at the chemistry of a particular essential oil. We teach everyone how to analyze the person standing in front of them, looking at their medical history, medications, and to discern how they have responded to different therapies over the course of their lives. Some people react paradoxically to a therapy or an essential oil, this is taken into consideration as well. The clinical judgment and knowledge along with the property of the oils backed by evidence-based research is the basis of how the students are taught.

Another aspect that is covered in great detail is knowing how to decide which women are good candidates for Aromatherapy and which ones are not. We look at possible issues surrounding the neonate, so we teach what should be done for the mom with the baby as well as separate of the baby, in other words without baby present in the room.

In taking this well-rounded and evidence-based clinical approach, I believe that the program is incredibly unique, and very important to the community at large.

LM: Pregnancy and childbirth has until very recently carried with it a stigma, viewing it as a medical condition, rather than a natural and beautiful part of life. Can you talk briefly about how Aromatherapy is being used to facilitate the birthing process?

PC: Pregnancy, labor and childbirth are a beautiful and natural process for the female body. In normal healthy pregnancies, our bodies are well designed to adjust the many functions of our bodies as well as accommodate the growth and development of a fetus. Healthy nutrition, rest, and regular exercise can accomplish this task. At times women do become so uncomfortable with nausea, ingestion, stress, and aches and pains that Aromatherapy is a good choice. Occasional, very dilute and select essential oils used externally; i.e. Lemon (Citrus limon), Lavender (Lavandula angustofolia), and Red Mandarin (Citrus reticulata) have been very effective in our programs.

Unlike what seems like a popular notion, there is no need to help start the labor process. Utilizing Clary sage (Salvia sclerea) for example, is being overused with the idea that a therapist or a nurse can get labor started. This area needs to be understood more fully. If the mother is already in labor, there is no need to increase the contractions. This actually causes what is called hyper-contractions from uterine hyperstimulation (a potential complication of labor induction). This could create a risk for the mother or baby, especially if there are conditions such as cord around the babies neck, placenta previa1 or abrupto.2

The overall goal is to make the mother more comfortable. The more relaxed and comfortable she is, the more likely that natural labor is going to progress, as it should.

LM: Lavender was at one time considered an emmenagogue (uterine stimulant) and was considered contraindicated during pregnancy. In his book, Essential Oil Safety, 2nd Ed., Robert Tisserand dismissed this as a myth as he found no credible research to support that. Recently there has been some debate over this topic. Where do you currently stand on the issue?

PC: There have been some changes recently as far as opinions surrounding Lavender. The experts that I refer to are the clinical experts. When it comes to Aromatherapy, we all find a place to work from that we feel most comfortable, based on our own professional background. Being in the medical field for decades, I focus on the clinical experts and the evidence base, as well as our patient responses. Since beginning our program, we have collected patient data from over 1500 OB hospital interventions.

Historically, the agreement between Ethel Burns and Denise Tiran has been no topical application of Lavender until after the 24th week of pregnancy. The percentage for an acceptable essential oil during pregnancy is 0.5-1%. Once term labor begins this can be increased to 2%. This is a fraction of the dilution that you may have seen recommended often times in the industry.

In a clinical setting, when working with someone who has previous medical conditions or any other red flags; i.e. past miscarriages, in vitro fertilization (IVF),  multiples (twins, triplets,etc.) various blood lab abnormalities, high or low blood pressure, and swelling, the decision to be more conservative with Aromatherapy is recommended. For someone with no red flags, a decision may be made to use Lavender at the dilutions mentioned above before the 24-week mark. At that point, the only Lavender that would be used is Lavandula angustifolia, as ketones are a concern with other varieties of Lavender. If the soon-to-be-mother is going through such a high level of stress that it is insurmountable and puts a risk on the pregnancy and she needs help, Lavender (Lavandula angustifolia) may be used.

As long as the mother is not allergic to or dislikes Lavender, it can be used throughout labor and postpartum for anxiety and pain. Red Mandarin is also very helpful for anxiety, indigestion, and nausea and is emotionally uplifting.

As a nurse for many years, the clinical perspective, patient care experience and evidence base all play a part in my practice and courses.

LM:  I would like to talk a little bit about your 2012 study conducted with Cindy Adams, “The effects of clinical Aromatherapy for anxiety and depression in the high risk postpartum woman.” Can you tell us a little bit about that clinical study?

The aim of the study was to determine if Aromatherapy is effective at improving anxiety and depression in women at high risk of postpartum depression. It was a study that included 28 women who were all 0-18 months postpartum. The treatment groups were randomized to either inhalation or the Aromatherapy ‘M’ Technique. The treatment consisted of 15 min sessions, twice per week for four consecutive week using a 2% blend of Rose (Rosa damascena) otto and Lavender (Lavandula angustifolia). The non-randomized group avoided all Aromatherapy during this same time period. Allopathic treatment continued for all of the participants.

All subjects completed the Edinburgh Postnatal Depression Scale (EPDS) and

Generalized Anxiety Disorder Scale (GAD-7) at the beginning of the study. The scales were then repeated at the midway point (two weeks), and at the end of all treatments (four weeks).

No significant differences were found between Aromatherapy and control groups at baseline. However, the midpoint and final scores indicated that Aromatherapy had significant improvements greater than the control group on both EPDS and GAD-7 scores. No adverse effects were reported.

The study shows that Aromatherapy is very effective and safe as a complementary therapy in both anxiety and depression with postpartum women.

LM: What do you hope to see for the future of Aromatherapy? What other areas of support for women are you hoping to target in the near future?

Where I see the greatest importance for Aromatherapy during this passage of life is during the post-partum phase and early motherhood. The ability to identify a mom who is at risk for post-partum depression (PPD) is crucial. We can work with them to using Aromatherapy and other complementary therapies to help avoid PPD. We demonstrated the empowering use of the essential oil on mothers and their children in our published pilot study (Conrad and Adams, 2012).

The time during pregnancy and labor is the perfect time to teach a woman how to properly take care of herself during the post-partum period and beyond. When we are able to work as a team, thereby giving us nine months to provide the education to the mom as a complement to their care, greatly increases their quality of life. A mom can then to go to Aromatherapy first, rather than medical treatments, after birth. The postpartum period involves the mother navigating through a myriad of changes, both emotionally and physically. Aromatic complementary therapies can be a perfect stand alone support during the postpartum period for some women. In others, when medication is indicated, it can further support the mother physically and emotionally to improve her quality of life in early motherhood.

The IJPHA is proud to present Pam’s course in Women’s Health for Aromatherapists, nurses, nurse Aromatherapists, midwives, and doulas February 4-5, 2017 in Boulder, Colorado. For information about this program and to register, visit the IJPHA website at http://www.ijpha.com.

[1] Placenta previa is a problem of pregnancy in which the placenta grows in the lowest part of the womb (uterus) and covers all or part of the opening to the cervix.

[2] Placenta abrupto is when the placenta detaches from the wall of the womb (uterus) before delivery.

References

Burns E et al.. (2000). An investigation into the use of Aromatherapy in intrapartum midwifery practice. The Journal of Alternative and Complementary Medicine. 6 (2), p141-147.

Burns E, Zobbi V, Panzeri D, Oskrochi R, Regalia A. (2007). Aromatherapy in childbirth: a pilot randomised controlled trial. BJOG. 114 (7), p838-844.

Conrad P and Adams C. (2012). The effects of clinical Aromatherapy for anxiety and depression in the high risk postpartum woman-A pilot study. Complementary Therapies in Clinical Practice. 18 (3), 164-168.

Leslie Moldenauer has been studying natural living and holistic wellness for over 10 years. She is the owner of Lifeholistically.com, a trusted resource that covers essential oil safety and encompasses all that natural living has to offer. Leslie is passionate about providing education and tools to help others make decisions regarding safety above all things when utilizing aromatherapy in the home. Leslie earned her degree in Complementary and Alternative Medicine (CAM) at the American College of Healthcare Sciences in Portland, Oregon. She is currently earning an advanced diploma in Aromatic Medicine with Mark Webb (Australia), and has trained with Aromatherapy researcher and educator Robert Tisserand.

Putting some order into Matricaria recutita et Chamaemelum nobile

A wonderful article written by Cathy Skipper comparing and contrasting Roman and German Chamomile!

Cathy Skipper

The choice of Chamomile came up for the first edition of our magazine by chance but one of those chances where you feel that you are being gently pushed in a certain direction, A conversation on a herbal forum about the differences betweenChamaemelum nobile L and Matricaria recutita triggered me into trying to put some order into this vast subject and pin point some of the differences between Roman and German chamomile.

ImageTo begin with chamomile is one of those plants that everyone has heard of as a herbal tea, it was probably the first herbal tea I made myself as a young student thirty years ago in London when I started to feel the need for plants in my diet. The only snag with this is that in most of these cases, it probably wasn’t chamomile but Matricaria recutita, ok so I am being too pernickety I hear…

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I’ve Jumped off the Essential Oil Bandwagon

normal after all

Photo courtesy of Honolulu Media https://www.flickr.com/photos/68909241@N07/ Photo courtesy of Honolulu Media https://www.flickr.com/photos/68909241@N07/

Okay, not so much the essential oil bandwagon but definitely the MLM essential oil bandwagon.

A couple of years ago, I was introduced to doTerra essential oils. I was intrigued by the idea of the therapeutic use of essential oils. I signed up and was excited to learn more.  Prior to that, my only experience with essential oils was using them for making homemade cleaning products.  I had tried using lavender essential oil a few times and hated it – it always gave me a headache.  After starting with doTerra, I learned that I didn’t hate lavender, I only hated adulterated lavender, which is most lavender available to purchase in stores.  I learned there was a difference between oils bought in most stores and doTerra’s Certified Pure Therapeutic Grade (CPTG) oils and of course I learned that doTerra is the only company with CPTG…

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the big, burning question, part ii: how I choose my essential oil suppliers

The Untamed Alchemist further discusses the important factors that matter in selecting essential oils as they matter to her…and I wholeheartedly agree!

The big, burning question I so often get is, “what brand of essential oils do you recommend?” The first part of my response to the question, focused on the question itself, can be found in part i of this series here. In this post you’ll find part ii of iii, focused on the criteria I use in choosing my essential oil suppliers.

Part II: How I Choose My Primary Essential Oil Suppliers

There are a wide variety of essential oil suppliers and they can vary tremendously in the quality and purity of their oils, their commitment to sustainability, their customer care, their empowerment of safe use, and their engagement with the aromatherapy community; choosing the best among them can be difficult, but there are a surprising number of companies who offer quality essential oils who have met my relatively stringent standards.

There are two categories of things I consider when choosing my suppliers: the nitty-gritty details of…

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the big, burning question, answered (sort of), part i of iii

I am sharing this blog piece written by a dear friend who is always aver so eloquent in expressing her point of view (often shared by myself and so many others in the aromatic community). I highly encourage anyone engaged in buying essential oils to read this. (PS…there’s no brand bashing)

Of all of the questions I’m asked as an aromatherapist, the question about “which brand” of essential oils I recommend is BY FAR the most commonly posed — it’s also one of the most problematic and troublesome questions to answer. It’s especially precarious to provide a pat answer on a blog….

For me to really address this question meaningfully takes a lot of energy, honesty, and context, especially as I find it impossible to answer in short fashion. So I’ll be “answering” this question in three parts.

My “big picture” has to be in place for you to understand and appreciate my response, not least because my thinking challenges the context of the question itself.

So, rather than answer the question by naming a company, I’m going to walk you through how I address this question in the context of my workshops–and that’s going to take more than one post. My response will come in three parts: my perspective on…

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Improving the Immune System

Essential oil.fruitveg.supplmntSix essential oils for boosting immunity  

Spring is here and that means so are stuffy noses and annoying coughs. With seasonal changes we are more susceptible to becoming ill. A good way to avoid being under the weather is to keep the immune system strong. The immune system is the line of the defense for the body and is what keeps us healthy. There are many ways to boost immunity from essential oils to minimal exercise. Keeping the immune system healthy isn’t a one time job, it takes work and requires different methods to keep it in top shape. Great ways to boost your immunity include essential oils, herbs, food and vitamins.

Essential oils  

Using essential oils to boost immunity is an excellent way to ensure you stay healthy through seasonal changes. These essential oils are some that have great immunity properties; Spearmint, Balsam Copaiba, Sweet Orange, Rosalina, Clary Sage, and Tea Tree. Of course there are more oils that can improve immune system but these six oils have specific properties which are for the immune system.

Spearmint (Mentha spicata)

This essential oil has a great scent but also contains the chemical carvone. Carvone is part of the ketone functional group and possesses antimicrobial and antioxidant properties. Carvone is abundant (62.85%) in Spearmint. Using a little Spearmint (1 drop per 5 ml) in a massage oil or 3-4 drops in a diffuser for 20 minutes twice per day is a great way to boost the immune system as it helps to loosen and expel mucous and cool and reduce fever.

Copaiba Balsam (Copaifera langsdorfii Desf., Copaifera officinalis)

Copaiba Balsam is rich in β-caryophyllene (65.7%), a chemical with biological activity that helps improve immunity. β -Caryophyllene is part of the sesquiterpene functional group and can be useful immunostimulant as well as having antiviral properties. It is also used to relieve general aches and pains that accompany illness. It can be used in massage oil and diffuser blends and pair well aromatically with Roman Chamomile, Cedarwood, and Jasmine.

Sweet Orange (Citrus sinensis) 

When it comes to boosting immunity d-limonene, a monoterpene gets the job done. Sweet Orange essential oil is rich in d-limonene (96%) containing more than Lemon essential oil (65%).  Limonene-rich oils are an excellent general tonic for the immune system. They are also wonderful decongestants, are antibacterial and effective antioxidants making very efficient for boosting immunity. The aroma of limonene-rich oils is bright and pleasant and can add a little sunshine to the otherwise gray outlook that comes with illness.

Rosalina (Melaleuca ericifolia)

Rosalina is in the Melaleuca family and is also known as Lavender Tea Tree. Rosalina is rich in linalool (35-55%), a monoterpenol. Linalool is commonly found in Lavender in smaller amounts (approximately 37%). Linalool is wonderful in combating airborne microbes making it a useful addition to air mists/spray and for blends used in vaporizers and diffusers. Linalool also helps to relax the nervous system encouraging much needed rest. Consider blending the pleasant-smelling Rosalina with Lavender, Lemon, and Tea Tree. Blending these oils and using in a diffuser for 20 minutes twice per dayis an excellent way to boost the immune system.

Clary Sage (Salvia sclerea)

Rich in linalyl acetate (50-75%), an ester, Clary sage essential oil is great for balancing the body and allowing it to function properly. The bioactive properties of linalyl actate include, but are not limited to, reducing pain and inflammation, fighting bacteria, relaxing the nervous system and stimulating the immune system. This essential oil is also nice for improving mood by lifting the spirits. Clary Sage blends well with Lavender, Cedarwood, and Bergamot.

Tea Tree (Melaleuca alternifolia)

Tea Tree essential oil contains terpinen-4-ol (30-80%), a monoterpenol that is highly antibacterial and antiviral. Terpenin-4-ol also helps to boost white blood cells, hence improving immunity making Tea Tree essential oil a “must have” in the medicine cabinet. Use the oil during seasonal changes in a diffuser or environmental spray mist.

Essential oils aren’t the only way to help the body to help itself improve immunity. Another great way to improve the immune system is through the use of herbs.

Herbs

We have been using herbs to improve immunity for centuries. Plants are one of the oldest and purest ways to improve the body. Two herbs that can improve the immune system are Ginseng and Echinacea.

Ginseng (Panax Ginseng) 

Ginseng root is known for its immune building properties. Extracts from the stems, leaves and mostly the root have shown to maintain homeostasis of the immune system. The root of the herb also increases resistance to illness and microbial infections. The way Ginseng does this is by boosting the immune system functions. Macrophage activity increases when Ginseng is consumed. Macrophages are a type of white blood cell that will consume foreign substances. Increasing macrophage activity will put the body on alert allowing it to combat foreign substances more efficiently. Ginseng can be consumed in many forms, pills, powder, and tea. When buying Ginseng products it is important to note what parts of the plant are being used and what percentage of the product is actually Ginseng. Looking for a product label to ensure that the whole plant is used. If the whole herb isn’t being used then the benefits of Ginseng may not be as effective.

Echinacea (Echinacea purpurea)

Echinacea is one of the most popular herbs, especially in the United States. Echinacea, when used preventatively is great for reducing cold symptoms. The herb itself is great for boosting immunity, as it contains chemicals derived from the root; such as polysaccharides, flavonoids, chicoric acid, polyacetylenes and alkylamides. The root contains high levels of volatile oils which are odorous compounds. An example would be isobutylamide, an alklymide that provides taste and smell of Echinacea. As for the plant portion it has polysaccharides which set off activity in the immune system. Polysaccharides release TNF (tumournecrosis factor) which will increase the levels of macrophage interlekin-1 and interferon beta-2. Alkylamide and chicoric acid will also boost immunity by stimulating phagocytosis. The chemicals in Echinacea stimulate phagocyte activity improving the body’s health and wellness.

These are just two of many herbs that improve immunity, however they are the two that are most readily available.

Food and vitamins

Incorporating certain foods and vitamins into the diet is another way to increase immunity. Great foods to introduce into the diet would be garlic, red bell peppers, broccoli, and ginger. Garlic helps increase immunity by having sulfur-containing compounds such as allicin. Allicin is a organosulfer compound that has antibacterial, anti-fungal, and antiviral activity. Red bell peppers are high on vitamin C and is a great source of beta-carotene. Vitamin C maintains skin health and prevents colds, while beta-carotene helps maintain proper eye health. Broccoli is a great food with vitamins A, C and E. This vegetable is also loaded with antioxidants which helps prevent certain types of cell damage. Finally ginger has similar effects as it contains vitamin C. In addition, ginger has the added benefit of helping the body to reduce cholesterol. This plant contains many vitamins and minerals such as; thiamine, riboflavin, calcium, iron, and magnesium. The combination of these vitamins and minerals allows the body to reduce cholesterol and maintain a balanced immune system.

Vitamins provide a great impact when comes to supporting the immune system. The foods listed above have the necessary vitamins to help boost the immune system, but they can also be consumed in pill form as well. Some of the best vitamins for boosting immunity are vitamin A, C, E and B12.

Using a combination of essential oils, herbs, food and vitamins can be a very effective way way to improve immunity. Keeping a strong immune system is a year long task and requires many different ways to keep it healthy.

By Bryant Hernandez, Student Health Administration